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MODULE 16: Admission, Transfer, Discharge

Terms in this set (20)

Admission
The official entry of a person into a healthcare setting (long term care facility, hospital, etc).
Discharge
The official departure of a person from a healthcare setting (long term care facility, hospital, etc).
Transfer
Moving the person to a new room on the same unit, moving the person to another unit at the same facility, or moving the person to another healthcare facility..
Which is usually a happy time?

Admission.

Transfer to another room on a unit.

Transfer to another facility.

Discharge.
Discharge.
You have been assigned to the new admission, Mr. Abdul, who will be going to Room 102. What additional information do you need from the nurse?

The resident's diagnosis and whether he will need any special equipment and supplies.

How long the resident will be at the facility.

If the resident is being separated from family and friends.

If you will need to fill out a personal belongings list.
The resident's diagnosis and whether he will need any special equipment and supplies.
When Mr. Abdul arrives in the room, you will:

Obtain his health history.

Measure his vital signs.

Explain his rights.

Review the doctor's orders.
Measure his vital signs.
When the person with dementia is admitted to a healthcare facility, which response is most likely to occur?

Sudden onset of depression.

An increase in confusion.

An interest in the environment.

A display of aggression.
An increase in confusion.
Mr. Jung was just admitted and you will need to get his weight. What information do you need from the nurse?

Where to record the weight.

What Mr. Jung should wear.

Mr. Jung's normal weight.

If Mr. Jung can stand or if he requires a wheelchair.
If Mr. Jung can stand or if he requires a wheelchair.
You will be using a wheelchair scale to weigh Mr. Jung. Which statement is correct?

Standing scales are safer than wheelchair scales.

If Mr. Jung remembers his weight and tells you, you then do not have to weigh him.

You will need to get the weight of the wheelchair.

Use your judgment to estimate the weight of the wheelchair.
You will need to get the weight of the wheelchair.
The weight of Mr. Jung and the wheelchair is 197 lbs. The wheelchair weight 39 lbs. How much does Mr. Jung weigh?
158lbs
The next time you weigh Mr. Jung, he has a new electric wheelchair. The wheelchair weighs 85 lbs. The weight of Mr. Jung and the wheelchair is 243 lbs. Now how much does Mr. Jung weigh?

The same as before.

More than before.

Less than before.

There is too little information to calculate the weight.
The same as before.
When weighing Mr. Jung, have him:

Remove his clothes after weighing him and then weigh the clothes.

Remove his regular clothes and have him wear a hospital gown.

Wear regular street clothes.

It does not matter what he wears as long as he wears the same amount of clothing each time he is weighed.
It does not matter what he wears as long as he wears the same amount of clothing each time he is weighed.
Each time you weigh Mr. Jung, make sure to weigh him:

First thing in the morning.

At the same time each day.

Whenever he prefers.

Only when he requests to be weighed.
At the same time each day.
You measure Mr. Jung's height using the standing scale and obtain a measurement of 62.5 inches. You must record the height in feet and inches. What will you record?
5ft 2in
You measure another resident's height and get 73 inches. How much is this in feet and inches?
6ft 1in
A chair scale is used when the resident:

Cannot transfer from a wheelchair.

Can stand alone.

Can sit without support.

Is in the supine position.
Can sit without support.
When the resident cannot stand on the scale to have her height measured:

Ask her what her height is.

Have her sit in a chair and use a tape measure to measure her from head to toe.

Position her in a supine position, if allowed, and measure with a tape measure from head to toe.

Obtaining a height is not possible in this circumstance.
Position her in a supine position, if allowed, and measure with a tape measure from head to toe.
Ms. Chavez is being moved to a new room. Which action would you use to show support and reassurance?

Pat his head and say, "You're okay."

Ask him to come visit you when you are working.

Introduce him to his CNA and explain how you all work together to make sure the best care is given to each resident.

Sit with him until the end of your shift.
Introduce him to his CNA and explain how you all work together to make sure the best care is given to each resident.
Mr. Chavez tells you that he wishes to leave the facility without the doctor's permission. What should you do?

Help him pack his belongings.

Prevent him from leaving.

Tell the nurse at once.

Try to convince him to stay.
Tell the nurse at once.
When you are assisting the person who is being discharged, which task is your responsibility?

Giving the prescriptions to the person.

Checking the clothing and the personal belonging lists.

Giving the valuables to the person.

Providing discharge and follow-up instructions.
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